Abstract

THIS article is a clinical report of the use of penicillin in the treatment of infections of the middle ear, sinus and face. Penicillin has been used both locally and systemically in a group of 27 cases of infection of the middle ear, 17 cases of sinusitis and 8 cases of infection of the face or neck. The technic for the treatment by topical application of penicillin was as follows: (1) Proetz's displacement with penicillin solution in isotonic solution of sodium chloride (1,000 to 10,000 units per cubic centimeter); (2) administration of 5,000 to 10,000 units per cubic centimeter into the maxillary sinuses through a trocar, which was left there, every three hours for a few days; (3) use of ointments of penicillin in the operative cavities, or (4) systemic administration of penicillin, 10,000 to 20,000 units every three hours. GENERAL CONSIDERATIONS OF RESULTS I. Systemic Administration .—A. Acute Otitis Media:

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